movement disorder

{{For|the journal|Movement Disorders (journal)}}

{{Infobox medical condition (new)

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Psychiatry

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Movement disorders are clinical syndromes with either an excess of movement or a paucity of voluntary and involuntary movements, unrelated to weakness or spasticity.{{Cite book|url=https://books.google.com/books?id=OkXsXr2HKPwC|title=Principles and Practice of Movement Disorders|last1=Fahn|first1=Stanley|last2=Jankovic|first2=Joseph|last3=Hallett|first3=Mark|date=2011-08-09|publisher=Elsevier Health Sciences|isbn=978-1437737707|language=en}} Movement disorders present with extrapyramidal symptoms and are caused by basal ganglia disease.{{Cite book|url=https://books.google.com/books?id=vOQqyNhTDl0C|title=Neurology in Clinical Practice: Principles of diagnosis and management|last=Bradley|first=Walter George|date=2004-01-01|publisher=Taylor & Francis|isbn=9789997625885|language=en}} Movement disorders are conventionally divided into two major categories- hyperkinetic and hypokinetic.

Hyperkinetic movement disorders refer to dyskinesia, or excessive, often repetitive, involuntary movements that intrude upon the normal flow of motor activity.

Hypokinetic movement disorders fall into one of four subcategories: akinesia (lack of movement), hypokinesia (reduced amplitude of movements), bradykinesia (slow movement), and rigidity. In primary movement disorders, the abnormal movement is the primary manifestation of the disorder. In secondary movement disorders, the abnormal movement is a manifestation of another systemic or neurological disorder.{{Cite book|url=https://books.google.com/books?id=FMPNCQAAQBAJ|title=Mayo Clinic Neurology Board Review: Clinical Neurology for Initial Certification and MOC|last1=Flemming|first1=Kelly|last2=Jones|first2=Lyell|date=2015-06-15|publisher=Oxford University Press|isbn=9780190244934|language=en}} Treatment depends upon the underlying disorder.{{cite web |url=https://www.nlm.nih.gov/medlineplus/movementdisorders.html |title=MedlinePlus: Movement Disorders }}

Classification

class="wikitable"

!Movement Disorders{{Cite book|url=https://books.google.com/books?id=bdGcBAAAQBAJ|title=Movement Disorders in Childhood|last1=Singer|first1=Harvey S.|last2=Mink|first2=Jonathan|last3=Gilbert|first3=Donald L.|last4=Jankovic|first4=Joseph|date=2015-10-27|publisher=Academic Press|isbn=9780124115804|language=en}}

!ICD-9-CM

!ICD-10-CM

colspan=3|Hypokinetic Movement disorders
Poliomyelitis, acute

|045

|A80

Amyotrophic lateral sclerosis, ALS (Lou Gehrig's disease)

|335.20

|G12.21

Parkinson's disease (Primary or Idiopathic Parkinsonism)

|332

|G20

Secondary Parkinsonism

|

|G21

Parkinson plus syndromes

|

|

Pantothenate kinase-associated neurodegeneration

|

|G23.0

Progressive Supranuclear Ophthalmoplegia

|

|G23.1

Striatonigral degeneration

|

|G23.2

Multiple sclerosis

|340

|G35

Radiation-induced polyneuropathy (brachial and lumbar plexopathies)

|

|G62.82

Muscular dystrophy

|359.0

|G71.0

Cerebral palsy

|343

|G80

Rheumatoid arthritis{{cite web |title=Debilitating Diseases – 12 Diseases that change millions of lives |url=https://dodgepark.com/health/debilitating-diseases/ |website=dodgepark.com |date=2 December 2013 |publisher=Dodge Park |access-date=14 March 2024}}

|714

|M05

colspan=3|Hyperkinetic Movement disorders
GLUT1 deficiency syndrome

|

|E74.810

Attention-deficit hyperactivity disorder (with hyperactivity)

|314.01

|F90

Tic disorders (involuntary, compulsive, repetitive, stereotyped)

|

|F95

Tourette's syndrome

|

|F95.2

Stereotypic movement disorder

|

|F98.5

Huntington's disease (Huntington's chorea)

|333.4

|G10

Dystonia

|

|G24

Drug induced dystonia

|

|G24.0

Idiopathic familial dystonia

|333.6

|G24.1

Idiopathic nonfamilial dystonia

|333.7

|G24.2

Spasmodic torticollis

|333.83

|G24.3

Idiopathic orofacial dystonia

|

|G24.4

Blepharospasm

|333.81

|G24.5

Other dystonias

|

|G24.8

Other extrapyramidal movement disorders

|

|G25

Essential tremor

|333.1

|G25.0

Drug induced tremor

|

|G25.1

Other specified form of tremor

|

|G25.2

Myoclonus

|333.2

|G25.3

Chorea (rapid, involuntary movement)

|

|

Drug induced chorea

|

|G25.4

Drug-induced tics and tics of organic origin

|333.3

|G25.6

Paroxysmal nocturnal limb movement

|

|G25.80

Painful legs (or arms), moving toes (or fingers) syndrome

|

|G25.81

Sporadic restless leg syndrome

|

|G25.82

Familial restless leg syndrome

|

|G25.83

Stiff-person syndrome

|333.91

|G25.84

Ballismus (violent involuntary rapid and irregular movements)

|

|G25.85

Hemiballismus (affecting only one side of the body)

|

|G25.85

Myokymia, facial

|

|G51.4

Neuromyotonia (Isaacs Syndrome)

|359.29

|G71.19

Opsoclonus

|379.59

|H57

Rheumatic chorea (Sydenham's chorea)

|

|I02

Abnormal head movements

|

|R25.0

Tremor unspecified

|

|R25.1

Cramp and spasm

|

|R25.2

Fasciculation

|

|R25.3

Athetosis (contorted torsion or twisting)

|333.71

|R25.8

Dyskinesia (abnormal, involuntary movement)

|

|

Tardive dyskinesia

|

|

Diagnosis

Step I : Decide the dominant type of movement disorder{{Cite book|url=https://books.google.com/books?id=2VytAgAAQBAJ|title=Movement Disorders in Neurologic and Systemic Disease|last1=Poewe|first1=Werner|last2=Jankovic|first2=Joseph|date=2014-02-20|publisher=Cambridge University Press|isbn=9781107024618|language=en}}

Step II : Make differential diagnosis of the particular disorder{{citation needed|date=October 2020}}

Step II: Confirm the diagnosis by lab tests{{citation needed|date=October 2020}}

History

Vesalius and Piccolomini in 16th century distinguished subcortical nuclei from cortex and white matter. However Willis' conceptualized the corpus striatum as the seat of motor power in the late 17th century. In mid-19th-century movement disorders were localized to striatum by Choreaby Broadbent and Jackson, and athetosis by Hammond. By the late 19th century, many movement disorders were described, but for most no pathologic correlate was known.{{Cite book|last=Lanska|first=Douglas J.|chapter=Chapter 33 the history of movement disorders |date=2010-01-01|title=History of Neurology|series=Handbook of Clinical Neurology|volume=95|pages=501–546|doi=10.1016/S0072-9752(08)02133-7|issn=0072-9752|pmid=19892136|isbn=9780444520098}}

References

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